| NPI | 1073780961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH F. KOEPPL Director 608-258-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1842123) |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |